Health System Resilience in a PHC Setting in India—A study of Assam and MP
Journal Title: Public Health Open Access - Year 2024, Vol 8, Issue 1
Abstract
Context: To bolster the ambitious Program of Government of India (GOI), to build a strong and resilient healthcare system plans to establish 1,50,000 Health and Wellness Centres (HWCs) across the country by 2024, the GOI gave a clear to its partners to explore options. Aim: Therefore, LEHS | WISH, initiated a baseline study to assess the service availability and service readiness (SARA) status of 18 Sub-centres (SCs) and Primary Health Centres (PHCs) to be upgraded as HWCs to deliver the twelve package of services as envisaged in HWC guidelines to strengthen the primary healthcare system. Settings and Design: Health system resilience, was assessed against the 10 Areas of Concern, elaborated in National Quality Assurance Standards (NQAS) for all the 12 thematic areas of service delivery of HWCs. Methods and Material: A sequential mixed method of design was adopted, which included both quantitative and qualitative components of assessment. The major focus of the study was quantitative in nature to assess HWC facility level gaps across key areas. Qualitative study with stakeholders including that of the community was undertaken to elicit reasons for such gaps and awareness of the community to respond/ engage with health systems better. Statistical Analysis Used: STATA was used a quantitative analysis tool undertake the analysis. Results: on average, both the last mile healthcare delivery system (PHC and SC) and the community are less than 25% resilient, even for disasters. Conclusion: It is not possible to make the system resilient unless focused effort is made. Therefore, there’s a need to clearly define the essential services and its resource requirement to be made available 24X7 for 365 days without fail, offer regular training to the staff to ensure process resilience, create awareness within the community to engage with the health system optimally, strengthen local governance to assure provision of essential services.
Authors and Affiliations
Nagarajan S , Sahu S , Choudhury CR , Songara D , Das A and Singh S
Keywords
Related Articles
- EP ID EP755848
- DOI 10.23880/phoa-16000271
- Views 5
- Downloads 0
Study Females Intention to Practice Female Genital Mutilation for their Daughters at Beni Suef
Background: Female Genital Mutilation/Cutting practice became documented within the 28 countries of the European Union, Norway, and Switzerland as a result of migrations of females. The WHO originally prohibited the medi...
Pioneer Protocol for Monitoring Pesticides in Water, State of São Paulo, Brazil
Pesticides protect crops against pests, but are harmful to human health when ingested through contaminated food and water. While developed countries seek to ban the use of pesticides, developing countries use many of the...
Non-Parental Child-Caregivers’ Utilization and Non-Utilization of Treated Mosquito Bed Nets in a Community on the Atlantic Ocean Coast of Lagos, Nigeria
Objective: To evaluate perception, ownership, use and defects in LLINs among non-parental caregivers in Iyaafin community on the Atlantic Ocean coastline of Lagos State, Nigeria. Methods: This cross-sectional, community...
How Can a Country Effectively Control the Spread of Coronavirus Disease-2019: a Case Study from Thailand
In the last 9 months, an emerging infectious disease caused by a new coronavirus - severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) - has spread from one country to over 213 countries and territories around t...
Study on Prevalence and Associated Risk Factors of Indigestible Foreign Bodies in Rumen and Reticulum of Cattle Slaughtered at Selected Districts of East Ararge Zone Municipal Abattoirs
Ingestion of indigestible foreign bodies by ruminants is becoming a common worldwide problem which is the associated with a shortage of feed as well as increased pollution of grazing lands with indigestible materials. A...